Active NPI
Aaron Heber Pack
- Dentist
- Oak Ridge, TN
National Provider Identifier
1598376808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13058
- Practice address
- 689 Emory Valley Rd Ste a
Oak Ridge, TN 37830-7746 - Phone
- (865) 213-5156
- NPI assigned
- Aug 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13058 | TN | Primary |
| Dentist | 122300000X | DGD.10447.GD | SC |
Addresses
Primary practice location
689 Emory Valley Rd Ste a
Oak Ridge, TN 37830-7746
Mailing address
1842 Produce LN
Johns Island, SC 29455-8307
Phone (801) 228-8554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10447.GD | SC | MD | Dentist |
| 13058 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1598376808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 PRODUCE LN",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558307",
"telephone_number": "801-228-8554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 EMORY VALLEY RD STE A",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307746",
"telephone_number": "865-213-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "AARON",
"middle_name": "HEBER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-11",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "13058",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.10447.GD",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.